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Reducing Burden:
Interfacing Public Health and Clinical Care
Session #275 W303A, February 14, 2019
Floyd Eisenberg, VP Standards and Regulatory, Chickasaw Health Consulting
Mary Beth Kurilo, Policy and Planning Director, American Immunization Registry Association
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Floyd Eisenberg, MD, MPH
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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Mary Beth Kurilo, MPH, MSW
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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• Overview of the HIMSS Immunization Integration Program (IIP)
• Overview of AIRA Measurement and Improvement for
Immunization Registries
• Overview of HIMSS/AIRA Immunization Collaborative
• Audience Participation
– High priority issues for data quality and interoperability
– Drill down on high priority challenges
– Facilitated discussions and feedback
• Summary of findings and call for continued participation in
Immunization Collaborative
Agenda
* AIRA = American Immunization Registry Association
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• Describe how to evaluate and harmonize requirements for public
health and clinical registry analysis with clinician and consumer
needs for decision making and clinical care
• Explain how to address clinical and analytical requirements with
clinical care workflow to enhance clinical software usability and
effectiveness
• Describe how to approach collaboration with other stakeholders in
the immunization management domain
• List examples of use cases to show variation in workflow to
effectively address administered vaccines that are ineffective (i.e.,
non-potent)
• Recognize workflow implications for managing messages
indicating errors in data transmission to a registry and how they
may be addressed
Learning Objectives
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• HIMSS in collaboration with the Drummond Group and Chickasaw
Health Consulting, LLC (CHC) under a contract with the Centers
for Disease Control and Prevention (CDC), National Center for
Immunization and Respiratory Diseases (NCIRD)
• Advancing the inclusion of immunization-related capabilities within
EHRs and other clinical software by:
– Facilitating agreement on priority immunization-related
software capabilities that align with clinical workflows
– Enabling software developers to voluntarily test and achieve
recognition of their products for inclusion of immunization
capabilities
– Providing guidance for improving usability of immunization-
related software functions
https://www.himssinnovationcenter.org/immunization-integration-
program
HIMSS Immunization Integration Program
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• Testing Information:
https://www.himssinnovationcenter.org/immunization-
integration-program/free-testing-immunization-products
• EHR / Clinical Software Capabilities
https://www.himssinnovationcenter.org/about-workflows-and-
capabilities
• EHR / Clinical Software Usability Guidance
https://www.himssinnovationcenter.org/immunization-
integration-program/usability
• HIMSS IIP Recognized Products:
https://www.himssinnovationcenter.org/immunization-
integration-program/recognized-products
HIMSS Immunization Integration Program
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• The Measurement and Improvement Initiative provides IIS with
information and guidance to align with the IIS Functional Standards.*
• The Initiative has created a three-stage process for IIS to measure
their alignment with current standards:
– Testing and Discovery gathers preliminary information on
community alignment with standards.
– IIS Assessment involves more formal testing to measure individual
IIS systems using IIS community-selected measures and tests.
– Validation is a summary stage to acknowledge and share results
for IIS that are progressing toward or achieving alignment with
community-selected measures and tests.
* The IIS Functional Standards are a set of specifications which describe the operations, data quality,
and technology needed by IIS to support immunization programs, vaccination providers, and other
immunization stakeholders.
https://www.immregistries.org/measurement-and-improvement-
initiative
AIRA Measurement and Improvement
Program
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AIRA analysts connect with IIS pre-production (test) systems
and send thousands of test messages to IIS
Results are shared with (and by) IIS via the Aggregate
Analysis Reporting Tool (AART)
AIRA Measurement and Improvement Program
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AIRA Measurement and Improvement Program
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IIS Participation:
IIS aligning with acknowledgement (ACK) messaging
Increases in Measurement and
Improvement (M&I):
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• Convened by AIRA and HIMSS to define and gain
consensus on steps to resolve issues associated with
immunization management, clinical workflow and the
exchange of information between EHRs and IIS.
HIMSS/AIRA Immunization Collaborative
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• The Collaborative will:
– Establish and resolve issues list as prioritized.
– Address ongoing feedback on deliverables.
– Develop/recommend model clinical practices.
• Examples include:
– Standards, definitions, usability and data sharing
issues
– Workflow for managing non-potent immunization
administrations
– Workflow for managing acknowledgement
messages
HIMSS/AIRA Immunization Collaborative
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• Objective:
– Establish a representative body to achieve consensus
among key stakeholders on common issues, clinical
workflow and recommended solutions to improve
immunization interoperability
• Goals:
– Improve immunization management, workflow, standards,
usability and data sharing
– Develop a value proposition sought by EHRs, IIS, and
clinicians, based on results of our evaluation
– Enable collaboration between organizations that can
implement necessary changes (in EHRs or IIS)
– Build on the work of the Immunization Integration Program
HIMSS/AIRA Immunization Collaborative
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The Collaborative will identify challenges and define actionable
solutions to improve immunization workflow, interoperability,
usability and data sharing between health IT systems and
organizations and IIS that will ultimately improve patient care and
outcomes.
• Measurements of Success:
– Increase the number of software developers being recognized
through the Immunization Integration Program
– Improve immunization information-related workflow and
usability
– Improve immunization interoperability and information sharing
– Increase adoption of immunization-related best practices
– Standardize Health Information Exchange engagement
HIMSS/AIRA Immunization Collaborative
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• Floyd Eisenberg MD, MPH (Presenter)
Vice President, Quality and Regulatory
Chickasaw Health Consulting
Floyd.Eisenberg@Chickasaw.com
(202) 643-6350
• Mary Beth Kurilo, MPH, MSW
Policy and Planning Director
American Immunization Registry Association
mbkurilo@immregistries.org
(202) 552-0197
• Please complete online session evaluation
Questions and Thank You!
